Abstract
We report a rare postoperative complication of a mid-urethral tape. The patient presented with a chronic infection resistant to treatment with several weeks of antibiotics, with eventual surgical removal, and the resulting complications of an infected incisional hernia and vesico-cutaneous fistula required reconstruction of the abdominal wall with Permacol™ and excision of the vesico-cutaneous fistula. We also look briefly at the impact of health tourism on the National Health Service.
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Abbreviations
- TVT:
-
Tension-free vaginal tape
- PFMT:
-
Pelvic floor muscle training
- NICE:
-
National Institute for Health and Clinical Excellence
- IVS:
-
Intravaginal slingplasty
- NHS:
-
National Health Service
References
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Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systemic review and meta-analysis of effectiveness and complications. BJOG 114(5):522–531
Hay-Smith EJC, Dumoulin C (2006) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women (Cochrane review). In: Cochrane Database of Systematic Reviews, Issue 1. Updated Software, Oxford
Jha S, Radley S, Shorthouse A (2008) Infected mid-urethral tape presenting as an ischiorectal abscess. Int Urogynecol J 19:877–879
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Walker, H., Brooker, T. & Gelman, W. Abdominal wall reconstruction following removal of a chronically infected mid-urethral tape. Int Urogynecol J 20, 1273–1275 (2009). https://doi.org/10.1007/s00192-009-0852-7
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DOI: https://doi.org/10.1007/s00192-009-0852-7